Verification Information System & SAVE Case Check

Verification Request and Verification Request Supplement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0101 can be found here:

Documents and Forms

Document Name Document Type
Verification Information System & SAVE Case Check Form and Instruction
SAVE Check Landing Page SAVE Case Check Landing Pages 12-9-14.docx Form and Instruction
Verification Information System Verification Information System Screen Shots 4-10-2015.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Verification Information System & SAVE Case Check	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	SAVE Check Landing Page	SAVE Case Check Landing Pages 12-9-14.docx		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Verification Information System	Verification Information System Screen Shots 4-10-2015.doc		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: SAVE Program SORN	FR Citation: 77 FR 47415

Number of Respondents: 12,711,033	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	12,711,033	12,711,033
Annual IC Time Burden (Hours)	1,055,016	1,055,016
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.